| NPI | 1184899973 |
|---|---|
| Former Legal Business Name | RUSSELL H GRIFFITHS, MDPA |
| Entity Type | Organization |
| Authorized Contact | RUSSELL H GRIFFITHS President 208-433-1736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: ID M7454) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2023-05-08 |